Home / GP Services / Medical Check-ups / Vocational Licence
LTA medical examinationSince 2 February 2026, the vocational licence medical check-up is submitted digitally by your doctor, through LTA and Traffic Police's Harmonised Medical Examination Report (HMER). You no longer upload anything. Bring your notification letter — it carries the QR code we need.
Traffic Police and LTA used to issue two separate medical forms. Drivers aged 65 and above sometimes underwent two medical examinations when both agencies' letters arrived in the same year — when only one was ever needed.
From 2 February 2026 the two forms are combined into a single digital report.
Transition period: from 2 February to 31 July 2026, LTA still accepts a completed physical copy of its medical form. If your letter arrived with a paper form attached, bring both. Source: LTA — Harmonised Medical Examination Report (HMER).
Different rules apply to your vocational licence (LTA) and your driving licence (Traffic Police).
| Age group | Vocational Licence (LTA) | Driving Licence (Traffic Police) |
|---|---|---|
| 50 to 64 years old | Every 2 years | No requirement |
| 65 years and older | Every year, until the age of 74 | Class 2 & 3: every 3 years Class 4 & 5: every year, until the age of 74 |
Swipe the table sideways to see all columns →
LTA states that the statutory upper age limit is 75 years old for Class 4, Class 5 and vocational licence drivers. Drivers who reach 75 on their birthday can no longer hold these licences.
Note that these medical checks keep your VL valid even in years when it isn't due to expire. Missing one puts your licence at risk.
How you're notified, and what to bring, depends on why you're being examined.
| Purpose | How you're notified | Chest X-ray? | LTA's fee |
|---|---|---|---|
| Periodic medical requirement (yearly, or every 2 years) |
Medical letter to your registered address, 2 to 3 months before the check-up is due | Not required | — |
| New VL application | Approval-to-Attend-Course (ATC) letter, emailed within 15 working days of approval | Yes — report must be signed by a radiologist | $40 application fee |
| VL renewal | Renewal notice to your registered address, 1 to 2 months before your licence expires | Not required | $40 renewal fee |
Swipe the table sideways to see all columns →
Sources: LTA — HMER, VL application and VL renewal. Medical fees are set by the clinic; LTA's fees are separate.
The single most important item is your letter — the medical letter, renewal notice or ATC letter. Since 2 February 2026 it carries the QR code your doctor scans to open the HMER. Without it, we cannot submit your assessment.
If you have any pre-existing medical conditions, bring a specialist's memo certifying you fit to drive a public service vehicle, along with any existing specialist reports.
Applying for a new vocational licence? Also bring your chest X-ray report, signed by the radiologist.
LTA is explicit about this, and it catches people out. If your doctor decides you need a further specialist assessment, obtain the specialist's evaluation and then return to the original doctor, who completes the final assessment and submits the result on your behalf. Starting again with a different clinic means starting the examination again.
Beyond the medical, VL holders turning 70, 73 and 74 must pass an on-road assessment test as part of renewal.
Note the sequence: your medical must be accepted (the 2nd SMS) before you can book the on-road assessment. Leave time for both.
One visit, and we submit the HMER for you.
Chest X-ray can be completed on-site at our Suntec, Macpherson and Toa Payoh clinics. LTA advises calling any clinic beforehand to confirm the 'Fitness to Drive' service is available — please do call us.
LTA states that the cost of the medical examination is determined by individual clinics, and is separate from LTA's own fees ($40 for a VL application, $40 for a VL renewal). It is not covered by CHAS, Healthier SG or other national subsidy schemes. Contact us for current pricing, and tell us whether a chest X-ray is required.
Bring your medical letter, renewal notice or ATC letter to any of our clinics. We'll examine you and submit the HMER digitally — nothing for you to upload.
Book a VL medical check-upThe requirements and recommendations on this page are drawn from official Singapore government sources:
This page is general information, not medical advice, and requirements can change. Always confirm the current position with the relevant Singapore government agency, or speak to our doctors about your own circumstances.